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ckd stage 3b pv & actinomycosis hyperpigmented skin lesions pv with actinomycosis pv ckd actinomycosis pemphigus vulgaris clinical case carcinoma with bone metastasis liver and bone bones liver bony mets hcca with bone metastasis bone metastasis hcca hepatocellular carcinoma 8 cranial nerve 5 facial nerve trigeminal nerve midbrain & pons midbrain pons midbrain & pons anatomy iatrogenic perforation update of hepatic encephalopathy hepatic coma hepatic encephalopathy basal ganglia basal nuclei